Organization Active NPI

Physiohealth and Rehab, Inc.

  • Physical Therapy Clinic/Center
  • Lutz, FL
National Provider Identifier
1679800775
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT15246 Issued in FL
Legal business name
PHYSIOHEALTH AND REHAB, INC.
Practice address
17900 Hunting Bow Cir
Suite 102
Lutz, FL 33558-5390
Phone
(813) 920-4293
Fax
(813) 920-4238
NPI assigned
Nov 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Maria Clarissa Marquinez, PTNPI 1578899365
Title
Ceo
Phone
(813) 920-4293

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT15246 FL Primary

Addresses

Primary practice location

17900 Hunting Bow Cir
Suite 102
Lutz, FL 33558-5390

Mailing address

17900 Hunting Bow Cir
Suite 102
Lutz, FL 33558-5390
Phone (813) 920-4293

National Provider Directory

National Provider Directory

Locations

14028 5th St
Ste C
Dade City, FL 33525
Phone (352) 437-4846

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1679800775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17900 HUNTING BOW CIR",
            "address_2": "SUITE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585390",
            "telephone_number": "813-920-4293",
            "fax_number": "813-920-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 HUNTING BOW CIR",
            "address_2": "SUITE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585390",
            "telephone_number": "813-920-4293",
            "fax_number": "813-920-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOHEALTH AND REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "MARQUINEZ",
        "authorized_official_first_name": "MARIA CLARISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-920-4293",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT15246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.